Tricuspid valve disease
What is tricuspid valve disease?
Disease in the tricuspid valve typically means the valve is not sealing properly, and some unoxygenated blood is flowing back into the atrium rather than onwards to the lungs. Mild and moderate tricuspid regurgitation can be a result of aging and rarely requires treatment. Severe tricuspid regurgitation may require treatment.
Causes
Causes of tricuspid valve disease include:
Heart defects
Rheumatic fever
Rare conditions (e.g. Marfan syndrome, carcinoid syndrome)
Radiation therapy
Chest trauma (e.g. car accident, pacemaker device wires)
Heart Failure
Atrial Fibrillation
Symptoms
Symptoms may be difficult to recognize, as they vary and are often dismissed as general signs of aging. Common symptoms include:
Shortness of breath
Fatigue
Swelling of the belly (abdomen), legs and ankles
Discomfort around the liver (top right side of your abdomen)
Decrease in appetite
Noticeable vein/pulse in the neck
Make sure you monitor any changes using a symptom tracker and attend regular checkups with your healthcare provider.
Tricuspid valve disease is treatable
If you have been diagnosed with tricuspid valve disease, you are not alone. Learn from people who share their experience — and what they learned about diagnosis, treatment and recovery.
Treatments
If your valve requires treatment, a range of options may be available. Your heart team should carefully explain the risks and benefits of each approach for you. Together, you and your heart team can make the best decision about the right treatment for you. Treatment options may include:
Tricuspid valve repair
Bringing the neck of the valve together with a stitch or artificial ring can help the cusps or flaps come together and correct tricuspid regurgitation.
Surgical reshaping or patching can be done to help the valve close more tightly.
Transcatheter edge-to-edge repair (TEER) is a minimally invasive procedure in which a thin tube called a catheter is used to insert devices to bring the edges of the valve together. This helps the valve close more completely, reducing regurgitation (back flow).
Surgical tricuspid valve replacement
A surgical valve replacement is usually performed by open heart surgery or, if possible, minimally invasive surgery with smaller incisions. The surgeon removes the tricuspid valve and replaces it with a tissue valve, which is sometimes called a bioprosthetic or biological valve.
Bioprosthetic valve replacements are made of animal tissue that is strong and flexible enough to last 10-20 years. They usually don’t require high doses of long-term blood-thinning medications.
Lifestyle changes
With all heart valve diseases, healthy habits can improve your health generally and reduce the strain on your heart from everyday activities. Maintaining a healthy weight, stopping smoking, and starting light exercise like walking can help your heart adapt to work better despite valve disease.
Medical management
Regular checkups to monitor your heart health.
Your heart team may prescribe medications to relieve your symptoms, reduce complications and/or manage risk factors. Medicines are not a cure for heart valve disease.
Staying hydrated and using diuretics if prescribed can have a significant impact on tricuspid function.
There is a lot to consider when deciding on treatment. These resources will help you ask the right questions and participate in decision making with your heart team.
Frequently asked questions
If I have no symptoms, does that mean my heart valve disease is mild?
No. You can have severe valve disease and feel fine. That’s why it is important to have a healthcare provider to assess your heart regularly.
Do all heart valve diseases require surgery?
No. Many Canadians who are diagnosed with heart valve disease can live a normal life with lifestyle changes and minimal treatment. Mild and moderate heart valve conditions may never need surgery. Regular check-ups help identify when heart valve disease is worsening and give you time to consider treatment options.
Resources
Initial Consultation Guide
This guide will help you prepare for an appointment with your doctor and support an efficient, informative, and helpful consultation. It outlines the types of questions your doctor may ask you during the consultation, as well as questions you'll want to consider asking.
Shared decision making
People diagnosed with heart valve disease are often confronted with a wide range of treatment options. Shared decision-making involves doctors and patients working together to choose the most suitable treatment, based on the patient’s preferences and goals as well as clinical evidence and the care team’s expertise. These resources aim to support people with heart valve disease in participating in decision-making about their care.
Get the shared-decision making guide
Symptom Tracker
Our symptom tracker has been developed to help people who think they may have heart valve disease, or other cardiac conditions, prior to or during consultation periods with their doctor. It captures symptoms to help you and your doctor understand your health and assist with diagnosis and ongoing care planning.
There is life after treatment.
Each person’s path to recovery will look different. Your treatment plan will be unique to your needs, and likewise, your recovery — the time it takes to return to a normal activity level and adapt to lifestyle changes — may vary from what others experience. Taking time to recover, both physically and mentally, is an important part of your journey.